IF 1 4区医学

Pflege Pub Date : 2023-06-01 DOI: 10.1024/1012-5302/a000915

Maren Wittek, Anna Kiefer, Henrike Voß, Stefanie Wiloth

{"title":"[Care for family carers of people with dementia in municipal communities during the pandemic: A Qualitative Study].","authors":"Maren Wittek, Anna Kiefer, Henrike Voß, Stefanie Wiloth","doi":"10.1024/1012-5302/a000915","DOIUrl":"https://doi.org/10.1024/1012-5302/a000915","url":null,"abstract":"Care for family carers of people with dementia in municipal communities during the pandemic: A Qualitative Study Abstract: Background: The availability of support services for family carers of persons with dementia in the municipal community shows deficits due to the Corona pandemic and thus entails a change in the support of carers. Research question: The questions arise, what changes in the care of family carers of people with dementia do those affected perceive, how do actors from the municipal community experience the care situation during the pandemic and to what extent do the perceptions of the groups coincide or differ. Method: The database consists of town hall talks and focus groups from 13 municipal communities in Germany. Participants were family carers and actors from the municipal community. For data analysis, a qualitative content analysis was carried out. Result: Negative changes in the care of caregivers can be seen, for example, in the omission of care services or groups of relatives. Above all, actors perceived positive changes, such as advancing digitalization or increased neighborly help. The perception of changes in the care situation differs in several subcategories between carers and actors. Conclusion: Although large gaps in care have been created by the pandemic, emerging challenges also create new ways for support such as digital groups for family carers. In the future, opportunities need to be created to implement already developed interventions in such a way that the target group can make use of them.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 3","pages":"129-138"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9493237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Self-efficacy expectancy in adolescents with anorexia nervosa in the outpatient setting: A cross-sectional study]. 青少年神经性厌食症患者的自我效能预期:一项横断面研究。

IF 1 4区医学

Pflege Pub Date : 2023-06-01 DOI: 10.1024/1012-5302/a000922

Stefanie Sonderegger, Veronika Waldboth, Anna-Barbara Schlüer

{"title":"[Self-efficacy expectancy in adolescents with anorexia nervosa in the outpatient setting: A cross-sectional study].","authors":"Stefanie Sonderegger, Veronika Waldboth, Anna-Barbara Schlüer","doi":"10.1024/1012-5302/a000922","DOIUrl":"https://doi.org/10.1024/1012-5302/a000922","url":null,"abstract":"Self-efficacy expectancy in adolescents with anorexia nervosa in the outpatient setting: A cross-sectional study Abstract: Introduction: The population involved in this study are individuals with anorexia nervosa (AN). AN is a disease with sometimes life-threatening underweight. Self-esteem problems, anxiety and social problems accompany those affected. AN is often chronic. Hospitalized patients quickly gain weight, but often the underlying eating problem persists, which leads to rehospitalization. Studies on the self-efficacy expectation (SWE) of those affected are largely lacking. Aim: The aim of this study is to examine the SWE in those affected in the post-hospital setting with reference to the age of the affected persons, the number of hospitalizations and the course of the disease. Method: As part of this cross-sectional study, those affected were interviewed in the post-hospital, psychosomatic setting using a standardized questionnaire \"General SWE\". The data were evaluated descriptively and by means of inferential statistics. Result: 85 young people were interviewed. In the sample, the SWE score averaged = 28.53 with up to and including three hospitalizations and = 24.68 with four or more hospitalizations. If the inpatient stay was only recently, the SWE score shows a lower value (= 26.08) than for those with a longer stay (= 29.00). Conclusion: The results indicate that SWE can influence the course of the disease in those affected. People with higher SWE values show a more favorable course of the disease with fewer rehospitalizations. The strengthening of the SWE is therefore of great importance in the inpatient and outpatient setting through targeted interventions by specialists.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 3","pages":"139-146"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9504972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Specifics of and training needs in the inter-professional home care ofpeople with dementia. 痴呆症患者跨专业家庭护理的具体情况和培训需求。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000878

Denise Wilfling, Kristina Flägel, Jost Steinhäuser, Katrin Balzer

{"title":"Specifics of and training needs in the inter-professional home care ofpeople with dementia.","authors":"Denise Wilfling, Kristina Flägel, Jost Steinhäuser, Katrin Balzer","doi":"10.1024/1012-5302/a000878","DOIUrl":"https://doi.org/10.1024/1012-5302/a000878","url":null,"abstract":" Introduction: Successful home care for people living with dementia (PLwD) allows them to live in their own home environment for as long as possible. Current findings indicate a need for further development of medical and nursing knowledge and skills in evidence-based collaborative care for these patients. Aim: To identify specifics of inter-professional care for PLwD and training needs of home care nurses and general practitioners involved in care. Method: A multi-perspective qualitative study was conducted, comprising focus groups as well as individual interviews. Focus groups and interviews followed a semi-structured topic guide. Interview data was digitally recorded and transcribed verbatim, followed by a thematic framework analysis. Results: The sample consisted of nine nurses, one medical assistant, three general practitioners and nine family caregivers of PLwD. Five themes related to inter-professional home care were inductively developed: challenges in outpatient dementia care, challenges in collaboration, insufficient healthcare infrastructure, competencies needed in dementia care, and training requirements. Challenges were a lacking flow of information as well as continuity and organization of care. Home care nurses and family caregivers complained about missing communication skills in health professionals involved in the care of PLwD. Conclusions: The interviews revealed heterogeneous training needs of home care nursing staff and general practitioners that can be addressed by an inter-professional training course.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"67-76"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9147389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Magnet4Europe". “Magnet4Europe”。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000933

Anna-Barbara Schlüer

引用次数: 0

[Über die Notwendigkeit eines guten theoretischen Fundaments zur Wirkungsweise pflegerischen Handelns]. "护理必须有良好的理论基础"

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000934

Hanna Mayer

引用次数: 0

[Patient handover from anaesthesia to postanaesthesia unit: An analysis of the current situation in three Swiss hospitals]. [病人从麻醉转到麻醉后病房:瑞士三家医院现状分析]。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000876

Luzia Vetter, Elena Camenzind

{"title":"[Patient handover from anaesthesia to postanaesthesia unit: An analysis of the current situation in three Swiss hospitals].","authors":"Luzia Vetter, Elena Camenzind","doi":"10.1024/1012-5302/a000876","DOIUrl":"https://doi.org/10.1024/1012-5302/a000876","url":null,"abstract":"Patient handover from anaesthesia to postanaesthesia unit: An analysis of the current situation in three Swiss hospitals Abstract: Background: Patient handovers carry a risk of inadequate or missing communication of important information that can jeopardize patient safety. To increase patient safety, protocols for processes and contents of a structured patient handover were created. Aim: To assess the current status of patient handovers from anaesthesia staff to recovery room nurses. Method: After a literature search an observation protocol for patient handovers according to the SBAR concept (von Dossow & Zwißler, 2016) was developed. Using this checklist, non-participant observations were conducted in three Swiss hospitals and evaluated with statistical analysis. Results: A total of 98 observations were made. The report receiving person felt integrated into the handover and received the necessary information. Deficiencies in patient identification and a joint control of lines after surgical interventions could be identified. The subjectively rated quality of patient handover did not differ between the three hospitals (X2(2)=,927, p=,629) and also not according to the time of day (X2(2)=3,604, p=,216). There was also no difference between the subjective quality of the handover and the delivering professional group (X2(3)=4,507, p=,212). Conclusions: The subjective quality of patient handover did not differ between the three hospitals. However, the patient handover protocols need to be adapted to ensure that patient identification and a joint assessment including control of lines and drains are performed.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"87-94"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9141291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Support needs of caregivers of people with dementia: An integrative literature review]. [痴呆症患者护理人员的支持需求:综合文献综述]。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000920

Julia Sonntag, Claudia Schwaizer, Christiane Kreyer

{"title":"[Support needs of caregivers of people with dementia: An integrative literature review].","authors":"Julia Sonntag, Claudia Schwaizer, Christiane Kreyer","doi":"10.1024/1012-5302/a000920","DOIUrl":"https://doi.org/10.1024/1012-5302/a000920","url":null,"abstract":"Support needs of caregivers of people with dementia: An integrative literature review Abstract: Background: Family caregivers are of great importance in the home care for people with dementia. The care and related stress can have a negative impact on their health. The CSNAT (German: KOMMA) is an approach to support family caregivers in palliative home care that could be used for this group of people. Aim: The aim was to identify support needs for caregivers of people with dementia in the literature and compare these with those that formed the basis for the development of the KOMMA approach. Method: We performed an integrative review. Literature research was conducted in February and March 2021 in the MEDLINE, CINAHL and PsycInfo databases. Relevant studies were identified and assessed using inclusion and exclusion criteria. Using MAXQDA, the data were assigned to categories with a content analytic procedure. Results: 23 studies were included that had been published with peer review procedure. Compared to the KOMMA approach, family caregivers show divergent support needs in the areas of (in)formal assistance, access to knowledge, managing physical and mental health conditions, maintaining the relationship, (temporarily) relinquishing the caregiving role and social integration. Conclusion: The KOMMA tool for identifying support needs cannot be directly adopted for this group of caregivers in its present form. However, given the richness of identified support needs, the development of a person-centered and needs-oriented assessment seems important.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"77-86"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[How do nurses describe timeliness in the delivery of nursing interventions? A qualitative study]. 护士如何描述护理干预措施的及时性?定性研究]。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000892

Adina Tschuppert, Rebecca Spirig, Michael Kleinknecht-Dolf

{"title":"[How do nurses describe timeliness in the delivery of nursing interventions? A qualitative study].","authors":"Adina Tschuppert, Rebecca Spirig, Michael Kleinknecht-Dolf","doi":"10.1024/1012-5302/a000892","DOIUrl":"https://doi.org/10.1024/1012-5302/a000892","url":null,"abstract":"How do nurses describe timeliness in the delivery of nursing interventions? A qualitative study Abstract: Background: Timeliness of nursing interventions is fundamental to professional medical care. Although nurses have developed strategies to manage time resources, nursing interventions are often carried out too early or too late. Both can have a negative impact on the quality of care and safety. However, no publications are available describing nurses' views on the appropriateness of time to perform nursing interventions. Aim: The aim was to describe what registered nurses in the hospital understand by the timeliness to deliver care. Methods: For this qualitative study, eight registered nurses were interviewed individually. Data analysis was performed using content analysis according to Mayring. Results: For the participants, timeliness in performing care interventions can be described as relational and dynamically changing over time. For them it is not limited to a defined point in time and they explain it as a time frame. From their point of view, timely action can prevent harm and suffering and ensure patients safety and well-being. Environmental factors, nursing goals and the urgency of actions influence them whether they act in a timely manner. Conclusion: Among the participating nurses, there exists a shared, often implicit, understanding of timeliness. Results of this study may help to understand the implicit understanding and the related processes and contribute to quality assurance in nursing.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"105-114"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9134955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Stress experience of teachers in nursing education: A qualitative survey]. 护理教育教师应激经历:一项质性调查。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000857

Marianne Rahner, Christiane Luderer

{"title":"[Stress experience of teachers in nursing education: A qualitative survey].","authors":"Marianne Rahner, Christiane Luderer","doi":"10.1024/1012-5302/a000857","DOIUrl":"https://doi.org/10.1024/1012-5302/a000857","url":null,"abstract":"Stress experience of teachers in nursing education: A qualitative survey Abstract: Background: Teachers in nursing operate in a special area of tension. In addition to the demands of teaching, stress factors arise out of the nature of nursing. Aims: The main question is how teachers in health care and nursing describe their professional stress experience. Supportive and stressful factors as well as coping strategies of the teachers should be identified and described. Methods: This is descriptive qualitative research. Twenty-six guideline-based telephone interviews were conducted with nursing teachers in northern Germany. After transcription these were subjected to qualitative content analysis according to 21-2Mayring (2015). Results: The teachers in nursing indicate varying degrees of professional stress. Main aspects are general conditions, high workload, misconduct and problems of students and cooperation with the collegial team and school management. The proximity to the professional field of nursing has both mitigating and reinforcing factors on the experience of stress. Conclusions: Stress experience is described by the teachers in the context of a lack of support and appreciation of professional performance. In order to maintain the high level of motivation and identification with nursing and the professionalization of nursing, and to ensure high-quality education, teachers need support in the form of solid personnel, material and space resources, as well as more visible recognition of their work.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"95-104"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9140113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Physical restraints in acute hospitals: A quantitative observational study as a starting point for the further development of quality management]. [急症医院的身体约束:作为质量管理进一步发展起点的定量观察研究]。

IF 1 4区医学

Pflege Pub Date : 2023-04-01 DOI: 10.1024/1012-5302/a000888

Annika Thomas, Iris Burkholder, Dagmar Renaud

{"title":"[Physical restraints in acute hospitals: A quantitative observational study as a starting point for the further development of quality management].","authors":"Annika Thomas, Iris Burkholder, Dagmar Renaud","doi":"10.1024/1012-5302/a000888","DOIUrl":"https://doi.org/10.1024/1012-5302/a000888","url":null,"abstract":"Physical restraints in acute hospitals: A quantitative observational study as a starting point for the further development of quality management Abstract: Background: Despite the known associated risks and adverse events, physical restraints are mostly observed in daily care practice of long-term care. Comparatively few studies are available for normal wards. Research question/aim: The explorative cross-sectional study investigated prevalences, types and reasons of physical restraints in nine selected normal wards of a maximum care hospital. Methods: The prevalences and types of physical restraints were collected in the early and late shift in summer 2020 via direct observation using standardised observation forms. The reasons for the use were recorded via a standardised survey of the nursing staff. Results: In the early shift, 15 out of 167 patients had physical restraints (9%), in the late shift 23 out of 191 (12%). People over 80 years were most affected (n = 8; 23.5% and n = 14, 25.9%). The highest prevalence was found in the clinic for neurogeriatrics with 21.4% (n = 3) and 37.5% (n = 6). Bedside restraints were used particularly frequently (n = 14; 93.3% and n = 22, 95.7%, resp.). The physical restraints were predominantly justified with the protection against fall injuries (n = 8, 53.3% and n = 15, 65.2%). Conclusions: Raising awareness among nursing staff through training and other accompanying measures are starting points for reducing physical restraints. In order to achieve sustainable changes, the management level should initiate appropriate measures and consistently accompany their implementation.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 2","pages":"115-124"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9493611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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